Tracheocarotid fistula secondary to laryngeal carcinoma presenting as massive hemoptysis

Tracheovascular fistulas are not traditionally included in the differential diagnosis of massive hemoptysis. We report the first such case due to a tracheocarotid fistula produced by occult subglottic laryngeal cancer. Also described is the unusual role the cuffed endotracheal tube played in obscuring the diagnosis and palliating the hemorrhage.